NPI | 1578058152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME167006) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 173750) |
Enumeration Date | 2018-06-26 |
Last Update Date | 2024-08-28 |